Missing Payroll Based Journaling Deadlines Will Effect Ratings
Nursing Facilities missing payroll based journaling deadlines will effect their Five Star ratings if they miss two deadlines in a row. The Centers for Medicare and Medicaid issued this warning earlier this week. This warning comes only two weeks prior to the May 15th submission deadline for data from the second fiscal quarter.
Officials from the Centers from Medicare and Medicaid warned skilled Nursing facility operators that they should not wait to the last minute to submit staffing data. The payroll based journaling data must be submitted correctly to be considered on time.
CMS official Lorelei Kahn told provider that “beginning with the next submission deadline providers who have not submitted any data for two consecutive deadlines will have their overall star and staffing rating suppressed”.
The PBJ data will be used to calculate staffing for the Five Star rating System in 2018. Although this data is not currently being used to calculate the the rating, the Nursing Home Compare page will show whether or not the facility has submitted the data correctly and on time.
CMS officials did not say exactly which quarters will be used to calculate the data, but suggested the fourth quarter of 2017 was likely if not earlier. CMS has not determined or at least is not saying if only nursing facilities will be subject to these calculations. Other disciplines may very well be subjected to this penalty as well. For the moment CMS is concentrating on getting every facility to submit the payroll data correctly and on time.
It will be interesting to see if the industry will be willing and able to comply with with this mandate. In some cases the Five star rating being suppressed will not be an incentive for compliance. Not all facilities are concerned about how they rate as long as their beds are filled.
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